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oa Polyarteritis Nodosa with Recurrent Skin Ulcers A Case Report
- Source: New Emirates Medical Journal, Volume 3, Issue 2, Sep 2022, e090622205805
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- 18 Jan 2022
- 13 Mar 2022
- 01 Sep 2022
Abstract
Polyarteritis nodosa or PAN is a rare disease. It is diagnosed frequently in middle age patients and the elderly. Reduction in hepatitis B virus infection has been associated with a reduction in the prevalence of PAN.
We present a 78-year-old patient with extensive skin lesions, weight loss, high blood pressure (HBP), polyneuropathy, evidence of hepatitis B virus infection, and a biopsy showing vasculitis of small or medium-sized arteries. Corticosteroid and antiviral treatment were prescribed to the patient and with great results.
PAN is a necrotizing vasculitis that typically affects medium-sized vessels with occasional involvement of small vessels. It is prevalent in older male patients, mostly in patients in their 60s who have recurrent skin ulcers and high blood pressure.